Product Details

Jamp Atazanavir

Atazanavir Sulfate
150 mg
Capsule

DIN/PIN/NPN

02513102

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2023-03-31

Unit Price

2.8386

Amount MOH Pays

2.8386

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

08:18:00 Antivirals

Therapeutic Note

NO

ATC Code

J05AE08

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02443791	Teva-Atazanavir	2.8386	2.8386
02248610	Reyataz	11.6950	2.8386
02456877	Mylan-Atazanavir	2.8386	2.8386
02513102	Jamp Atazanavir	2.8386	2.8386

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph